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MR. GREG L AVERY M.S.-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1073661674

Individual Registrant:
MR. GREG L AVERY M.S.-SLP
Gender: M
Sole Proprietor

Location and contact information for practice:
70 E PATTON ST  SAINT DAVID, AZ 85630-6207 US
Tel: 520-720-4781  Fax: --

Contact information for business:
1333 CHOLLA CIR  SIERRA VISTA, AZ 85635-1246 US
Tel: 520-459-8910  Fax: --

Registration Information:
NPI: 1073661674
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
AZ

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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